Episode 194: Step Back and Let Your Group Practice Run Itself [featuring Nicole McCance]

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June 14, 2025 • 20 mins

In this episode, Patrick Casale and Nicole McCance talk about her proven 5-step method for scaling a group practice—perfect for anyone feeling stuck at an income ceiling, burned out, or simply wondering what the next level looks like for their private practice.

3 Key Takeaways:

Systemize First, Hire Second: Before you build your team, get everything out of your head and document your systems. As Nicole says, if you don't systemize before hiring, you'll end up as the "chief question answerer"—not a true CEO.
Marketing Matters—But Do It Right: Digital marketing (especially Google Ads) is essential, but make sure your website and ads are synced, specialty pages are clear, and hire experts when needed. Don’t waste money on marketing that doesn’t connect.
Retention is Your Secret Weapon: Booking clients for multiple sessions and following up consistently (even after no-shows or cancellations) can increase your sessions by up to 20%. Simple steps = big impact.

Whether you're dreaming of scaling, preparing your practice as an asset, or just want more freedom as an owner, Nicole’s guidance offers a fresh roadmap using practical strategies.

More about Nicole:

Nicole is a Psychologist (retired) turned Business Coach for therapists scaling to a group practice. She expanded her private practice to 55 therapists and multiple 7 figures in 3 years (with toddler twins at home). Nicole sold her clinic in the 4th year and then retired as a Psychologist in her 5th year. She now teaches therapists how to help more people, make more money, and have more freedom following her proven method. The McCance Method: mccancemethod.com

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